NPI | 1275013492 |
---|---|
Former Name | MOLLY JEAN ELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.154141) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-08-16 |
Last Update Date | 2025-07-01 |